Individual provider Active NPI

Mark Richard Zablow, D.C.

  • Rehabilitation Chiropractor
  • East Orange, NJ
National Provider Identifier
1457560179
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
38MC00166800 Issued in NJ
Practice address
280 S Harrison St
Suite 401
East Orange, NJ 07018-1960
Phone
(973) 673-4044
Fax
(973) 673-0477
NPI assigned
May 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 38MC00166800 NJ Primary

Addresses

Primary practice location

280 S Harrison St
Suite 401
East Orange, NJ 07018-1960

Mailing address

280 S Harrison St
Suite 401
East Orange, NJ 07018-1960
Phone (973) 673-4044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
38MC00166800NJMDRehabilitation Chiropractor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457560179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 S HARRISON ST",
            "address_2": "SUITE 401",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070181960",
            "telephone_number": "973-673-4044",
            "fax_number": "973-673-0477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 S HARRISON ST",
            "address_2": "SUITE 401",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070181960",
            "telephone_number": "973-673-4044",
            "fax_number": "973-673-0477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZABLOW",
        "first_name": "MARK",
        "middle_name": "RICHARD",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "NJ",
            "license": "38MC00166800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.